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Dominic Derose JR.
Pharmacist in Clearfield, Utah
NPI 1083698559

Dominic Derose JR. is a Pharmacist based in Farmington, UT. Dominic Derose JR. practices in Clearfield, UT. The NPI Number for Dominic Derose JR. is 1083698559 and holds a License No. 140039-1701 (Utah).

The current practice location address for Dominic Derose JR. is 1080 W 300 N, Clearfield, UT and can be reached out via phone at 801-773-7330. You can also correspond with Dominic Derose JR. through the mailing address at 1509 WEST STAYNER DRIVE, FARMINGTON, UT - 84025 (mailing address contact number: 801-451-5708).

Location: 1080 W 300 N, Clearfield, UT, 84025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083698559
Provider Name
Dominic Derose JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1080 W 300 N, Clearfield, UT, 84025
Phone Number
801-773-7330
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1080 W 300 N
City
Clearfield
State
Utah
Zip
84015-8732
Phone Number
801-773-7330
Fax Number
person
Provider Business Mailing Address Details
Address
1509 West Stayner Drive
City
Farmington
State
Utah
Zip
84025
Phone Number
801-451-5708
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
140039-1701 (Utah)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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